26 Sep Case Study After two tours of duty in Afghanistan,
Case Study After two tours of duty in Afghanistan, Jeanette, a 26-year-old Haitian American female veteran, honorably discharged as a captain, returns home with clinical manifestations of posttraumatic stress (anxiety, difficulty concentrating, outbursts of anger, relationship difficulties, excessive alcohol use, preference for being alone), and she threatens to commit suicide. Jeanette’s mother insists that someone has used voodoo on her daughter and has a voodoo priestess (mambo) coming to the house regularly to “create protections” for Jeanette using herbs and ceremonies. Non-Haitian veterans who are Jeanette’s friends urge her to seek mental health care at a local community-based mental health clinic for veterans. 1. Describe how the nurse distinguishes between normal culture-specific behavior and the clinical manifestations of mental illness in veterans who have served in combat. 2. Explain the type of self-reflection the nurse should engage in to assure that he/she does not bring familial biases, prejudices, and other culturally specific barriers to the nurse–patient relationship. 3. Describe the influence of culture on mental health care values, beliefs, and practices. 4. Analyze why patients and their families choose to use traditional healing practices, such as voodoo, and seek out ethno-religious healers, such as mambos, to help people with mental health issues. 5. Assess the impact a mental health diagnosis, such as posttraumatic stress disorder, could have on a veteran’s future. 6. Jeanette belongs to an ethnic culture (Haitian American) and non-ethnic cultures (military and veteran).Relate the characteristics of culture you can identify in the non-ethnic culture of the military and the impact of the non-ethnic culture on the ethnic one. Describe how you might reconcile the two together. 7. Compare and contrast your cultural values, beliefs, and practices about mental health care with that of another cultural group, like the one in the case study.
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